Organization
NORTH SHORE KIDS TALK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA LISA CIACCIO MA CCC-SLP (DIRECTOR)
(516) 850-2133
Entity
Organization
Contact information
Practice address
444 COMMUNITY DR, STE 302, MANHASSET, NY 11030-3820
(516) 850-2133
Mailing address
29 ETON RD, NEW HYDE PARK, NY 11040-2047
(516) 850-2133
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
011429-1
NY
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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